Early detection of lesions of dorsal artery of foot in patients with type 2 diabetes mellitus by high-frequency ultrasonography |
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Authors: | Yanrong ZHANG Wenjing LI Tianwei YAN Chengfa LU Xiang ZHOU Yan HUANG |
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Institution: | Department of Medical Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China |
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Abstract: | Summary This study evaluated the value of high-frequency ultrasonograpy for early detection of dorsal artery of foot in patients with
type 2 diabetes mellitus (MD). Eighty subjects including 40 patients with type 2 MD (T2DM group) and 40 healthy volunteers
(NC group) were recruited. The intima-media thickness (IMT), the inner diameter and the perfusion of dorsal artery of foot
were measured by using high-frequency ultrasonograpy. Meanwhile, the parameters of vascular elasticity, including stiffness
parameter (β), pressure-strain elastic modulus (Eρ), arterial compliance (AC), augment index (AI), and pulse wave conducting
velocity (PWVβ) were detected by means of echo-tracking technique. The results showed that no significant difference was found
in the IMT, systolic diameter (Ds), diastolic diameter (Dd) and peak systolic velocity (PSV) between T2DM and NC groups. Eρ
and PWVβ were increased, and AC was decreased in T2DM group as compared with those in NC group with the differences being
significant (P<0.05 for all). There was no significant difference in β and AI between T2DM and NC groups. It was concluded that high-frequency
ultrasonography in combination with echo-tracking technique is sensitive and non-invasive, and can be used for early detection
of sclerosis of the lower extremity artery in patients with type 2 MD. |
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Keywords: | high frequency ultrasonography dorsal artery of foot elasticity type 2 diabetes mellitus |
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